GRX HOLDINGS LLC – NPI #1164363743
Pharmacy

A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.

Health Care Provider Taxonomy Code for Pharmacy

GRX HOLDINGS LLC is a pharmacy located in WATERLOO, IA. NPPES recently assigned the NPI number 1164363743 to GRX HOLDINGS LLC on April 06, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0004X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Compounding Pharmacy

The NPI profile was last updated on May 15, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GRX HOLDINGS LLC below.

NPI Profile for
GRX HOLDINGS LLC

NPI Number
1164363743
Enumeration Date

(about 2 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GRX HOLDINGS LLC
Primary location
209 E SAN MARNAN DR
WATERLOO, IA 50702-5840
Phone: (319) 236-8891 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL FULLER
PRESIDENT
Phone: (515) 321-7644
Updated
Certification Date
May 15, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0004X
- Pharmacy / Compounding Pharmacy (Primary)
3336C0003X
- Pharmacy / Community/Retail Pharmacy

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.